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立体定向放射治疗后运动区复发性脑转移瘤的磁共振引导激光诱导热疗

Magnetic Resonance-Guided Laser-Induced Thermal Therapy for Recurrent Brain Metastases in the Motor Strip After Stereotactic Radiosurgery.

作者信息

Iyer Aditya, Halpern Casey H, Grant Gerald A, Deb Sayantan, Li Gordon H

机构信息

Department of Neurosurgery, Stanford University School of Medicine.

Medical School, Stanford University School of Medicine.

出版信息

Cureus. 2016 Dec 7;8(12):e919. doi: 10.7759/cureus.919.

DOI:10.7759/cureus.919
PMID:28083463
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5218883/
Abstract

The authors report a challenging case of a brain metastasis located in the motor cortex, which was not responsive to radiosurgery. Use of a novel technique, magnetic resonance-guided laser-induced thermotherapy (MRgLITT), resulted in the complete obliteration of the lesion without adverse effects or evidence of tumor recurrence at follow-up. This case illustrates that MRgLITT may provide a viable alternative for patients with brain metastases refractory to radiosurgery or in deep locations, where both stereotactic radiosurgery (SRS) and surgical resection may be ineffective.

摘要

作者报告了一例位于运动皮层的脑转移瘤的具有挑战性的病例,该病例对放射外科治疗无反应。使用一种新技术,磁共振引导激光诱导热疗(MRgLITT),导致病变完全消失,随访时无不良反应或肿瘤复发迹象。该病例表明,对于放射外科治疗难治或位于深部的脑转移瘤患者,MRgLITT可能是一种可行的替代方案,在这些情况下,立体定向放射外科(SRS)和手术切除可能均无效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ed8/5218883/b35f540847d1/cureus-0008-00000000919-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ed8/5218883/a342da8e19c5/cureus-0008-00000000919-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ed8/5218883/52139a79c417/cureus-0008-00000000919-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ed8/5218883/b35f540847d1/cureus-0008-00000000919-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ed8/5218883/a342da8e19c5/cureus-0008-00000000919-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ed8/5218883/52139a79c417/cureus-0008-00000000919-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ed8/5218883/b35f540847d1/cureus-0008-00000000919-i03.jpg

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本文引用的文献

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Oncology. 2014;87(2):67-82. doi: 10.1159/000362817. Epub 2014 Jul 3.
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Risks of postoperative paresis in motor eloquently and non-eloquently located brain metastases.运动功能区和非运动功能区脑转移瘤术后轻瘫的风险
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Motor function after stereotactic radiosurgery for brain metastases in the region of the motor cortex.
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Selective excision of cerebral metastases from the precentral gyrus.中央前回脑转移瘤的选择性切除。
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Stereotactic laser induced thermotherapy (LITT): a novel treatment for brain lesions regrowing after radiosurgery.立体定向激光诱导热疗(LITT):一种治疗放射外科治疗后复发的脑部病变的新方法。
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